Cited by 796Cultural Competency in Health CareHealth Policy Implementation ScienceCounseling Practices and Supervision

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Issues and Challenges in the Design of Culturally Adapted Evidence-Based Interventions

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Castro, Felipe González, Barrera, Manuel, Holleran Steiker, Lori K.·2010·Annual Review of Clinical Psychology

DOI 10.1146/annurev-clinpsy-033109-132032PMC PMC4262835

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Abstract

This article examines issues and challenges in the design of cultural adaptations that are developed from an original evidence-based intervention (EBI). Recently emerging multistep frameworks or stage models are examined, as these can systematically guide the development of culturally adapted EBIs. Critical issues are also presented regarding whether and how such adaptations may be conducted, and empirical evidence is presented regarding the effectiveness of such cultural adaptations. Recent evidence suggests that these cultural adaptations are effective when applied with certain subcultural groups, although they are less effective when applied with other subcultural groups. Generally, current evidence regarding the effectiveness of cultural adaptations is promising but mixed. Further research is needed to obtain more definitive conclusions regarding the efficacy and effectiveness of culturally adapted EBIs. Directions for future research and recommendations are presented to guide the development of a new generation of culturally adapted EBIs.

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Authors: Castro, F. G., Barrera, M., & Holleran Steiker, L. K.
Affiliations: Arizona State University (US)
School of Social Work, University of Texas at Austin, Austin, Texas 78712
ORCID: Castro, Felipe González
Barrera, Manuel
Venue: Annual Review of Clinical Psychology
Publisher: Annual Reviews
Published: 2010-03-01
Volume: 6
Issue: 1
Pages: 213-239
ISSN: 1548-5943 (ISSN-L)
1548-5951
DOI: 10.1146/annurev-clinpsy-033109-132032
PMC: PMC4262835
OpenAlex: W2120679772
Cited by: 796
References: 98
Citations by year: 2026: 49 · 2025: 62 · 2024: 56 · 2023: 60 · 2022: 56 · 2021: 113 · 2020: 52 · 2019: 62 · 2018: 49 · 2017: 46 · 2016: 38 · 2015: 53 · 2014: 34 · 2013: 22 · 2012: 27
FWCI: 12.40
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Annual Review of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Minority Health and Health Disparities (P20MD002316, P20MD002316-010003)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
Keywords: cultural adaptation, evidence-based interventions, intervention design, adaptation framework, stage model, subcultural groups, cross-cultural psychology
MeSH terms: Acculturation, Adaptation, Psychological, Mental Disorders, Culture, Humans, Evidence-Based Medicine

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Issues and Challenges in the Design of Culturally Adapted Evidence-Based Interventions

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